---
type: tax-form
category: tax
person: xuewei-jiang
date: 2020-01-01
source: "[[jiang_w2_utaustin_2020.pdf]]"
---

# W-2 Wage and Tax Statement 2020 — Xuewei Jiang / The University of Texas at Austin

## Employer Information

- **Employer name:** The University of Texas at Austin
- **Employer address:** Payroll Services, PO Box 7849, Austin, TX 78713-7849
- **Employer EIN (Box b):** 746000203
- **Control number (Box d):** (blank)

## Employee Information

- **Employee name:** Xuewei Jiang
- **Employee SSN (Box a):** 092-99-3215
- **Employee address:** 2110 SPEEDWAY STOP B6600, CBA 6.222, AUSTIN, TX 78712-1276

## Wages and Taxes

| Box | Description | Amount |
|-----|-------------|--------|
| 1 | Wages, tips, other compensation | $3,618.30 |
| 2 | Federal income tax withheld | $148.07 |
| 3 | Social security wages | (blank) |
| 4 | Social security tax withheld | (blank) |
| 5 | Medicare wages and tips | (blank) |
| 6 | Medicare tax withheld | (blank) |
| 7 | Social security tips | (blank) |
| 8 | Allocated tips | (blank) |
| 9 | (blank) | (blank) |
| 10 | Dependent care benefits | (blank) |
| 11 | Nonqualified plans | (blank) |

## Box 12

| Code | Amount |
|------|--------|
| DD | $3,118.85 |

## Box 13

- [ ] Retirement plan
- [ ] Statutory employee
- [ ] Third-party sick pay

## Box 14 — Other

(blank)

## State Information

| Box | Description | Value |
|-----|-------------|-------|
| 15 | State | (blank) |
| 15 | Employer's state ID no. | (blank) |
| 16 | State wages, tips, etc. | (blank) |
| 17 | State income tax | (blank) |
| 18 | Local wages, tips, etc. | (blank) |
| 19 | Local income tax | (blank) |
| 20 | Locality name | (blank) |